Basic Information
Provider Information
NPI: 1649896796
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COURTNEY
FirstName: BRITTANY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN, MSN, FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 235 MILLWOOD AVE
Address2:  
City: WINCHESTER
State: VA
PostalCode: 226014559
CountryCode: US
TelephoneNumber: 5403833125
FaxNumber:  
Practice Location
Address1: 1870 AMHERST ST
Address2:  
City: WINCHESTER
State: VA
PostalCode: 226012873
CountryCode: US
TelephoneNumber: 5406620306
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/24/2020
LastUpdateDate: 03/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X0024179553VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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